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. 2012 Oct 17:3:86.
doi: 10.3389/fpsyt.2012.00086. eCollection 2012.

Ocular convergence deficits in schizophrenia

Mark S Bolding  1 , Adrienne C Lahti, Timothy J Gawne, Kristine B Hopkins, Demet Gurler, Paul D Gamlin
Affiliations

Ocular convergence deficits in schizophrenia

Mark S Bolding et al. Front Psychiatry. .

Abstract

Individuals with schizophrenia (SZ) have been reported to exhibit a higher prevalence of convergence insufficiency (CI) than the "normal" adult population. The purpose of this study was to determine if individuals with SZ exhibit clinical signs of CI and to determine if the Convergence Insufficiency Symptom Survey (CISS) is an effective instrument for identifying CI in this population. Twenty participants with SZ and 20 healthy controls (HC) completed the study. The prevalence of CI (15%) in the SZ group was slightly higher than reported norms, but the difference was not significant. The SZ group had significantly higher scores on the CISS than the HC group, but the CISS scores did not correlate with clinical measures of CI in individuals with SZ. The only exception was that SZ patients had a significantly reduced fusional reserve as determined by Sheard's criteria. Further study is needed to determine why individuals with SZ reported symptoms associated with CI even though clinical measures did not support this diagnosis.

Keywords: convergence insufficiency; endophenotype; eye movement dysfunction; oculomotor; schizophrenia; vergence.

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Figures

Figure 1
Figure 1
Distribution of mean CISS scores in each participant group. Bold vertical line indicates the cutoff score of 21. Individuals scoring ≥ 21 on the CISS were considered as having symptoms consistent with CI. (A) SZ, schizophrenia patients. (B) HC, healthy controls. CISS, Convergence Insufficiency Symptom Survey.
See this image and copyright information in PMC

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